scholarly journals Culturally Sensitive PTSD Screening in Non-Western Youth: Reflections and Indications for Mental Health Practitioners

2019 ◽  
Vol 32 (Special_Issue_1) ◽  
pp. i151-i161
Author(s):  
James Michael Perry ◽  
Camilla Modesti ◽  
Alessandra Talamo ◽  
Giampaolo Nicolais

Abstract Children around the world are exposed to traumatic events and research confirms that cultural factors play a central role in the psychological experience of trauma and the manifestation of symptoms in trauma and stress-related disorders. The DSM-5 and ICD-11 call on practitioners to consider the role of culture and context in the manifestation, assessment, and treatment of mental health disorders. This article analyzes peer-reviewed literature involving youth and adolescent PTSD screening in non-Western contexts, revealing only few instruments that have undergone validation for cultural contexts outside those for which they were developed. Studies that include cultural validation show marked differences in methodology and conceptual framework for adaptation, translation, and validation, and disagreement on the scale and scope of tools necessary to assess the impact of trauma in non-Western youth. The discussed studies reveal a need to debate a uniform methodology for cultural adaptation and validation of PTSD screening instruments.

Author(s):  
Nicki Moone

Working with relatives and carers on inpatient wards demands careful consideration and reflection on how best to adapt practice to meet their needs, working in partnership as stipulated by national policy and practice guidelines. Making all staff ‘carer aware’ means having a systematic approach to building on carers’ strengths and addressing their needs. The role of mental health practitioners in an acute inpatient ward requires a specific set of skills and values when working alongside carers and consideration of the impact that the caring role has had. Attention to best practice, guidance, and protocols go some way to addressing the need to be carer inclusive.


Religions ◽  
2021 ◽  
Vol 12 (10) ◽  
pp. 840
Author(s):  
Beata Pastwa-Wojciechowska ◽  
Iwona Grzegorzewska ◽  
Mirella Wojciechowska

Mental health is an area of continuous analysis, both in the context of understanding increasingly precise diagnostic criteria and the impact of therapeutic methods. In addition to these well-established directions of analysis and search, psychology tries to explore the factors that bring us closer to understanding the mechanisms of the genesis and development of disorders, as well as their importance in psychoeducation or therapy. The increased interest in issues of spirituality/religion observed in recent years translates into the pursuit to explore the relationship between religion/spirituality and health. This article reviews research into the ability of religion and spirituality to benefit or harm the mental health of believers. We also examine the mechanism of developing religious delusions in schizophrenia. Religion and spirituality can promote or damage mental health. This potential demands an increased awareness of religious matters by mental health practitioners, as well as ongoing attention in clinical psychology research.


Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman

Knowing what to do with client records can be a challenge for mental health practitioners. Those in private practice will need to make these decisions themselves given that they cannot rely on a records office or some other entity found in many agencies and hospitals. This chapter addresses each mental health practitioner’s ethical, legal, and clinical obligations with regard to assessment and treatment records when the professional relationship ends. How to store records, when and how to destroy them, confidentiality requirements, and legal obligations are each addressed. Further, the role of treatment records beyond one’s work with clients is explained to assist clinicians in best meeting former clients’ ongoing mental health treatment needs. The importance of maintaining treatment records as a risk management strategy should complaints be received at a later date is explained.


2018 ◽  
Vol 20 (1) ◽  
pp. 17-32
Author(s):  
Daniel T. Wilcox ◽  
Leam A. Craig ◽  
Marguerite L. Donathy ◽  
Peter MacDonald

Purpose The purpose of this paper is to consider the impact of mental capacity legislation when applied to parents with learning difficulties who lack capacity within childcare and family law proceedings in England and Wales. Design/methodology/approach The paper relies on a range of material including reports published by independent mental health foundations, official inquiries and other public bodies. It also refers to academic and practitioner material in journals and government guidance. Findings The paper critically reviews the application of the guidance when assessing mental capacity legislation as applied in England and Wales and offers by way of illustration several case examples where psychological assessments, and the enhancement of capacity, have assisted parents who were involved in childcare and family law proceedings. Research limitations/implications There has been little published research or governmental reports on the number of cases when parents involved in childcare and family law proceedings have been found to lack capacity. No published prevalence data are available on the times when enhancing capacity has resulted in a change of outcome in childcare and family law proceedings. Practical implications The duty is on the mental health practitioners assessing mental capacity that they do so in a structured and supportive role adhering to good practice guidance and follow the guiding principles of mental capacity legislation assuming that the individual has capacity unless it is established that they lack capacity. Guidance and training is needed to ensure that the interpretation of the Mental Capacity Act (MCA) and its application is applied consistently. Social implications For those who are considered to lack mental capacity to make specific decisions, particularly within childcare and family law proceedings, safeguards are in place to better support such individuals and enhance their capacity in order that they can participate more fully in proceedings. Originality/value While the MCA legislation has now been enacted for over ten years, there is very little analysis of the implications of capacity assessments on parents involved in childcare and family law proceedings. This paper presents an overview and, in places, a critical analysis of the new safeguarding duties of mental health practitioners when assessing for, and enhancing capacity in parents.


2019 ◽  
pp. 002216781986753
Author(s):  
Ashley L. Whitaker

Many artists are seen as neurotic and some believe this occurs because of their underpinning struggle to ameliorate the existential angst that often arises from living out an embodied human life. An art piece can be a means to channel the artist’s neuroticism and potentially alleviate exasperation due to conflicted thoughts about existence. At its extreme, what the author labels as existential rage occurs as a railing against the meaninglessness and disparity of life’s circumstances. Art, especially the heavy metal musical genre, is a dynamic medium that encapsulates and communicates existential rage, a version of existential injury categorized by extreme embitterment toward one’s being in the world. In this way, thoughts can be experienced as coming from outside of the artist as opposed to within the metaphorical inner cracks of their psyche. Heavy metal as a sonic medium of expression is intensely engrossed in existential concerns about existence. Laypersons and mental health practitioners alike stand to benefit from an expanded understanding of heavy metal in discourse on universal concerns within existential philosophy and psychology.


Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman

Documentation and record keeping are not known as the most enjoyable aspects of being a mental health clinician. Yet, as this chapter explains, they play a vital and important role in meeting one’s ethical and legal obligations. Further, it is explained how timely, thorough, effective documentation can help mental health practitioners to fulfill their obligation to provide the highest possible quality of care. Information is also provided on how clinical records may be needed in the future, and the risks associated with minimal or absent documentation. The role of documentation as a risk management strategy, to meet legal requirements, and to assist in providing high-quality care are each addressed. Specific guidance is provided on the needed components of effective documentation.


Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman

It is easy to assume that being licensed to practice a mental health profession independently renders one competent to manage effectively every clinical challenge that comes one’s way. Whether novice or experienced senior clinician, all mental health practitioners face clinically challenging situations, ethical dilemmas, and legally perplexing situations in the course of assessing and treating clients. This chapter explains the role of expert consultants in these situations and how they may save one significant money, time, and stress in the long run. Further, this chapter highlights the types of situations during which consultation and supervision may be especially helpful. Guidance is provided on how to know when this type of support and assistance is needed or may be beneficial, both to the client and to the mental health clinician, and how best to utilize it.


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